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Hey gents! New to the forums here, but a bit of background real fast - 33yo, been dealing with ED symptoms for ~7 years now. Sildenafil worked okayish for a year or four. Been on Cialis 5's for about a year, and the morning wood has returned about 60% of the time I'd guess, and performance is a bit better, but still no where near where I'd like to be. I was stacking 20-60mg sildenafil with my Cialis 5's when I knew the misses would be up for some fun, but that seemed to only actually /work/ for a tiny bit.

Had a follow up at my urologist just about a week or three ago and told them what was going on. I was expecting to move to Cialis 10/day (Though, since, I've been reading the 10mg is not supposed to be a daily), or possibly look a bit more into my low-ish T levels more, but they were just like, 'yeah, so there's injections we can do as a next step'.

Slightly caught off guard, but wanting to be able to actually take advantage of the wife being in the mood without having to worry about not being, what feels to be, a quarter of the... potentness (?) as I was before all of the BS started.

Doc had sent over my Rx to the compounding pharmacy (Insurance doesn't cover compounded meds, BOO), and did all of that initial ordering rigmarole. A few hours later, the doctor from the lab calls me and wanted to make sure I knew to NOT use my meds until I've been shown what's up by my doctor, because it's their 'super' strength.

I figured she was just BSing me.

Vials just got delivered today and they're a BiMix PGE1/PhentoLamine 40MCG-0.5MG/ML Injectable.

Been reading around here that, yeah, this may very well may be a super strength med lol!



I guess basically my reason for posting this is to inquire what you all think I should start out with for a starting dose. I've been reading people's docs are trying to start them at like 30 units to begin - but I'm presuming that's with a 10mcg/0.5mg strength, yeah?

Further, did anyone else have any experiences with the 'jump-to-conclusions' mat exercise that landed them in this particular section of the forum?



Thanks all!

Do not start off with too much. I am in about the same boat as you are as far as age and effectiveness of the pills. The last time I injected 4 tiny marks on the syringe, I was hard for a verry scary 3.5 hours... Before you take too much feel free to take too little.

Good advice from K4, but if you have "lowish T," get that fixed first.

K4OffRoad wrote:Do not start off with too much. I am in about the same boat as you are as far as age and effectiveness of the pills. The last time I injected 4 tiny marks on the syringe, I was hard for a verry scary 3.5 hours... Before you take too much feel free to take too little.

Yeah I'm kinda tempted to take whatever they suggest and quarter it because from what I can gather the typical BiMix is 10/.5. Sadly it seems like 95% of the guys out that are active on the forums are on TriMix, and I'm sure that's not an apples:apples comparison.

Was tempted to request EDEX simply for the fact that I can get it covered by insurance

Martin6469 wrote:Good advice from K4, but if you have "lowish T," get that fixed first.

So, after my vas, this is why I continued to be a patron at my uro. I figured my ED stuff was related directly to this. From what I've been reading around more and more, though, is that T levels are much more linked to libido, and not necessarily with performance. I probably should get a doppler ultrasound to track down what's exactly going on - this may be a follow up I have shortly to get that booked.

I tried Clomid for a good bit, but was starting to get some sides and wasn't ever feeling that much better, so I came off of it.

TT - I had tests in the low/mid 200's ng/dL (range 250-1100) before anything. CC brought me up around 535, and then after 8 weeks off of CC, I ran a 409.
FT - Two tests in the 60-75pg/mL pre CC (range 35-155). 128 on CC, 90 after CC.
SHBG Only got tested once after I came off, but it is at 19 nmol/L (range 10-50)
Estradiol seems to run stable around 20pg/mL (range < or = 39pg/mL)
FSH 2.8mIU/mL (range 1.6-8.0)
LH 5.0mIU/mL (range 1.5-9.3)


Honestly when I went back in to discuss how things were going and was very much in a 'good-not-great' result state with the pills, I was fully expecting to be running down the T side of things.

Island Sporks, I am much older, I am 74. I was put on edex40 in January of this year.
The edex works very well and will last for an hour or so. Just so you know....

Injecting is not a thing to start without doctors' instructions. If you inject too much an erection can last so long it may cause other issues.

Old Guy wrote:Injecting is not a thing to start without doctors' instructions. If you inject too much an erection can last so long it may cause other issues.

Yeah, I'm certainly waiting for my appt with my doc here at the end of the month.

Start low, and dont be angry if it doesn't work. If it works a little bit, then add 50% then next time. Many docs send their first time patients straight to the ER with a dose that is far too high.

I'm not a medical professional of any kind. Anything I post is based on my own experiences at best and hallucinations and/or delusions at worst. Always remember, internet forum advice is likely worth what you paid for it or worse. Always ask your doctor and follow his/her advice.

IslandSporks wrote:Hey gents! New to the forums here......

Welcome to the forum.

IslandSporks wrote:but they were just like, 'yeah, so there's injections we can do as a next step'....

Yeah, injections are generally the next step.

IslandSporks wrote:Doc had sent over my Rx to the compounding pharmacy (Insurance doesn't cover compounded meds, BOO).

Insurance rarely covers the compounded mixes.

IslandSporks wrote:A few hours later, the doctor from the lab calls me and wanted to make sure I knew to NOT use my meds until I've been shown what's up by my doctor, because it's their 'super' strength.

I don't know about that being a super strength. Edex is generally in 20s or 40s as standard. Of course the Edex is a mono-mix with just the PGE1 and I'm not sure how much difference the Phentolamine makes erection wise. I use a PGE1 mono-mix at 80mcg/ml and I've seen it up to 150mcg/ml, maybe even 200s but I'm not certain on the 200s.

IslandSporks wrote:......Vials just got delivered today and they're a BiMix PGE1/PhentoLamine 40MCG-0.5MG/ML Injectable.

That actually seems an odd Bi-mix to me as usually the reason guys go to a Bi-mix is to avoid the PGE1. In your case I'd consider asking for a straight PGE1 mono-mix. The Phentolamine is often considered to be one of the tri-mix ingredients with higher risk factors for fibrosis/scaring.

IslandSporks wrote:Been reading around here that, yeah, this may very well may be a super strength med lol!

K, I guess it is for them???

IslandSporks wrote:I guess basically my reason for posting this is to inquire what you all think I should start out with for a starting dose. I've been reading people's docs are trying to start them at like 30 units to begin - but I'm presuming that's with a 10mcg/0.5mg strength, yeah?

Keeping in mind I'm no medical expert, I'd suggest 5 units. You seem to still get some natural erections and it's safer to start low.

IslandSporks wrote:Further, did anyone else have any experiences with the 'jump-to-conclusions' mat exercise that landed them in this particular section of the forum?

I didn't understand this statement.

IslandSporks wrote:Yeah I'm kinda tempted to take whatever they suggest and quarter it because from what I can gather the typical BiMix is 10/.5. Sadly it seems like 95% of the guys out that are active on the forums are on TriMix, and I'm sure that's not an apples:apples comparison.

I've had an RP with nerve damage. None of the pills have ever given me any kind of erection by themselves. With my 80mcg/ml mix I can do 6 units and get an erection good for solo play. In your case I'd stick to 5 units for your initial experiments. Of course in the doctors office you'll have to go with the flow but don't let him send you out the door all boned out if he's given you much more than that. As for mono-mix vs tri-mix, I think the mono-mix is a bit safer so I'd stick to that if you can. Of course you have to do what you have to do and many guys do well on try-mix for a long time. Some guys don't tolerate PGE1 well and experience intolerable pain from it. They have to use tri-mix so that they can reduce the amount of PGE1 in their mix. You'll find out if you're one of those guys. But remember a lot of guys initially experience PGE1 ache but find it lessens or goes away totally with continued use. So don't give up on it right away. I was one of those guys. Now after having perfected my dose and injection technique I have no issues with it. I've been on it for over 10 years having started with Edex. My insurance quit covering Edex so I was forced to look elsewhere. Some doctors prescribe nothing but tri-mix. I don't understand that approach unless it's just laziness on their part.

IslandSporks wrote:Was tempted to request EDEX simply for the fact that I can get it covered by insurance

Hey, the Edex works. It's very travel friendly with a fantastic unrefrigerated shelf life. If your insurance covers it I'd try to build up a stash of it. And your insurance covers it? A no brainer. Get him to write a script for it.

Be sure to read as many of the old Injection sub-forum threads as you can stand. We'll be here to support you as much as we can.

Good luck.

Edit to add: I got way to long winded and I don't feel like editing for mistakes at the moment. Sorry about that. I'll maybe do that later.